摘要
目的分析产后出血患者采用宫腔球囊压迫止血治疗的临床效果。方法60例产后出血患者,随机分为对比组和观察组,各30例。对比组采用常规止血治疗,观察组采用宫腔球囊压迫止血治疗。对比两组患者手术时间、住院时间、下床活动时间、并发症发生情况、产后出血量、输血量以及治疗指标等。结果观察组患者手术时间、住院时间、下床活动时间均短于对比组,差异有统计学意义(P<0.05)。观察组患者并发症发生率低于对比组,差异有统计学意义(P<0.05)。观察组止血有效率96.67%(29/30)高于对比组的73.33%(22/30),差异有统计学意义(P<0.05);观察组子宫动脉结扎率6.67%(2/30)低于对比组的26.67%(8/30),差异有统计学意义(P<0.05);观察组血红蛋白(73.45±5.45)g/L高于对比组的(55.43±5.34)g/L,差异有统计学意义(P<0.05)。观察组产后2 h出血量为(623.23±14.67)ml、产后24 h出血量为(707.78±17.32)ml、输血量为(2.67±0.78)U,均低于对比组的(778.45±11.87)ml、(869.24±15.98)ml、(3.43±0.35)U,差异有统计学意义(P<0.05)。结论针对产后出血患者采用宫腔球囊压迫止血治疗,能够有效提高患者止血效率,缩短患者手术时间、住院时间、下床活动时间等,使患者治疗期间并发症发生率得到有效控制,值得在临床医学中推广和应用。
Objective To analyze the clinical effect of hemostasis by intrauterine balloon compression in the treatment of postpartum hemorrhage.Methods A total of 60 patients with postpartum hemorrhage were randomly divided into control group and observation group,with 30 cases in each group.The control group was treated with conventional hemostasis,and the observation group was treated with hemostasis by intrauterine balloon compression.The operation time,hospitalization time,off-bed activity time,complications,postpartum blood loss,blood transfusion,and treatment indexes were compared between the two groups.Results Patients in the observation group had shorter operation time,hospitalization time,off-bed activity time than those of the control group,and the difference was statistically significant(P<0.05).The complication rates in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The hemostasis efficiency was 96.67%(29/30)in the observation group,which was higher than 73.33%(22/30)in the control group,and the difference was statistically significant(P<0.05).The uterine artery ligation rate was 6.67%(2/30)in the observation group,which was lower than 26.67%(8/30)in the control group,and the difference was statistically significant(P<0.05).The hemoglobin(73.45±5.45)g/L of the observation group was higher than(55.43±5.34)g/L of the control group,and the difference was statistically significant(P<0.05).In the observation group,the blood loss at 2 h postpartum was(623.23±14.67)ml,the blood loss at 24 h postpartum was(707.78±17.32)ml,and the blood transfusion was(2.67±0.78)U,which were lower than(778.45±11.87)ml,(869.24±15.98)ml,(3.43±0.35)U in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with postpartum hemorrhage,hemostasis by uterine balloon compression can effectively improve the hemostasis efficiency of patients,shorten the operation time,hospitalization time and off-bed activity time,and effectively control the complication rates during treatment.It is worthy of clinical promotion and application.
作者
王娜
WANG Na(Dalian Women’s and Children’s Medical Center,Dalian 116000,China)
出处
《中国实用医药》
2021年第26期54-56,共3页
China Practical Medicine
关键词
产后出血
宫腔球囊压迫
止血治疗
Postpartum hemorrhage
Intrauterine balloon compression
Hemostatic treatment
